Document Detail


Alzheimer's and seizures: interleukin-18, indoleamine 2,3-dioxygenase and quinolinic Acid.
MedLine Citation:
PMID:  22084597     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Emergent seizures are common in Alzheimer's disease (AD), although the mechanisms mediating this are unknown. It is proposed that stress induced interleukin-18 (IL-18), via interferon-gamma (IFNy) and independently, increases indoleamine 2,3-dioxygenase (IDO) and subsequent quinolinic acid (QA) in microglia. QA increases seizures and concurrently contributes to neuronal loss via excitotoxicity. The ApoE4 allele interacts with IL-18 polymorphisms to increase the risk of AD, and seems likely to potentiate the emergence of seizures. Concurrent changes in IDO and the kynurenine pathways at the blood-brain-barrier (BBB) have implications for treatment, including in the efficacy of different anti-hypertensives. Melatonin is proposed to inhibit these overlapping excitotoxic and neurodegenerative processes, and would be a useful adjunctive treatment.
Authors:
G Anderson; Jo Ojala
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Publication Detail:
Type:  Journal Article     Date:  2010-10-15
Journal Detail:
Title:  International journal of tryptophan research : IJTR     Volume:  3     ISSN:  1178-6469     ISO Abbreviation:  Int J Tryptophan Res     Publication Date:  2010  
Date Detail:
Created Date:  2011-11-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101513378     Medline TA:  Int J Tryptophan Res     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  169-73     Citation Subset:  -    
Affiliation:
CRC, Rm 1/2, 1229 Dumbarton Road, Glasgow, Scotland, U.K.
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